| Doctor Name: | MS. PATRICIA F HOGAN |
| NPI Number: | 1417171810 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LMT |
| License Number: | 001696 |
| Business Practice Address: | Mustang Road 1 Mile North Of Rt 264 St Michaels Assoc For Special Education St Michaels, AZ - 865110100 |
| Business Phone Number: | 9288712899 |
| Business Fax Number: | 9288714873 |
| Mailing Address: | Po Box 100, ST MICHAELS |
| State: | AZ |
| Postal Code: | 865110100 |
| Phone Number: | 9288712899 |
| Fax Number: | 9288714873 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 001696 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |